Pre-emptive Trans-cutaneous Versus Trans-oral Ultrasound Guided Peritonsillar Infiltration With Bupivacaine During Tonsillectomy

Assiut University

Status: Unknown

Conditions: Postoperative Pain Management

Treatments: Other: trans-cutaneous ultrasound guided peritonsillar infiltration; Other: trans-oral ultrasound guided peritonsillar infiltration

Study type: Interventional

Funder types: Other

Identifiers

NCT03361813

201617019.2P

Details and patient eligibility

About

Ultrasound as a technique is safe, readily available, quick and portable allowing more accuracy of different regional blocks and local infiltration. It allows imaging of the mouth, oropharynx, infrahyoid structures, larynx, vocal cords, and trachea. Recently, ultrasound has been shown to improve accuracy in ultrasound guided block with local anesthetic infiltration. The objective of our study is to compare the effect of pre-emptive trans-oral ultrasound guided peritonsillar infiltration versus trans-cutaneous ultrasound (US) guided peritonsillar infiltration with bupivacaine for post-tonsillectomy analgesia, on surgical field, and surgeon satisfaction(intra-operative reactionary bleeding).

Materials and Methods: the patients will be admitted for tonsillectomy at ENT department of the Al- Azhar university hospitals. The patients' ages between 3 to 15 years. Patients will be divided into Cutaneous group: patients will be submitted to Trans-cutaneous ultrasound guided peritonsillar infiltration with bupivacaine, and Oral group: patients will be submitted to Trans-oral ultrasound guided peritonsillar infiltration with bupivacaine.

Enrollment: 60 estimated patients

Sex: All

Ages: 3 to 15 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• ASA (American Society of Anesthesiologists) physical status I-II with no airway complications or systemic diseases or known psychological diseases. Reason for their surgery was recurrent or chronic tonsillitis.

Exclusion criteria

• Infection at the site of injection, peritonsillar abscess or cellulites.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 2 patient groups, including a placebo group

trans-cutaneous ultrasound guided peritonsillar infiltration

Active Comparator group

Treatment:

Other: trans-oral ultrasound guided peritonsillar infiltration

trans-oral ultrasound guided peritonsillar infiltration

Placebo Comparator group

Treatment:

Other: trans-cutaneous ultrasound guided peritonsillar infiltration